Provider Demographics
NPI:1336804624
Name:DR. AMIRS WEIGHT LOSS AND METABOLISM CENTER
Entity Type:Organization
Organization Name:DR. AMIRS WEIGHT LOSS AND METABOLISM CENTER
Other - Org Name:DR. AMIR'S WEIGHT LOSS AND METABOLISM CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROTEM
Authorized Official - Middle Name:
Authorized Official - Last Name:AMIR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-302-8161
Mailing Address - Street 1:1250 E HALLANDALE BEACH BLVD STE 700
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-4641
Mailing Address - Country:US
Mailing Address - Phone:954-302-8161
Mailing Address - Fax:754-345-0575
Practice Address - Street 1:1250 E HALLANDALE BEACH BLVD STE 700
Practice Address - Street 2:
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-4641
Practice Address - Country:US
Practice Address - Phone:786-859-6474
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-02
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site